What is Breast Augmentation or Breast Enhancement?
Breast augmentation is a surgical procedure that enhances the size and shape of the breasts. Women who have small breasts or whose breasts are smaller and less firm following pregnancy or nursing may be interested in increasing the size and proportion of their breasts. Some women may have mildly saggy breast skin while others desire to bring symmetry to asymmetrical breasts. The goal of breast augmentation is to improve and enhance, not perfection. The more candid patients are about their goals and concerns with their surgeon, the more likely they will be pleased with the results.
How Bad Are The Scars in Breast Augmentation?
Breast implants must be placed through an incision in the skin. There are generally four options for scar placement – the arm pit (axilla), the area around the areola (peri or circum-areolar), under the breast crease (inframammary fold), and the belly button or umbilicus. The placement of implants from the abdomen has been largely abandoned by most plastic surgeons. Most common today is the inframammary fold incision under the breast fold. This remains well hidden, even in bikini bathing suits or nude. It also provides direct access to the placement of the implant and is usually limited to around 3cm (just over an inch). Dr. Marion uses the Keller Funnel to aid placing the implant and this has many advantages, one of which is requiring a smaller incision or scar.
Should Breast Implants Be Placed Below or Above the Muscle?
Patients can decide to place implants below or above the pectoralis major muscle, but some understanding of the pros and cons of site placement may guide the decision. Recent data suggests that placement under the muscle lowers the risk of infection, implant displacement and capsular contracture. It is also preferred in patients with thin skin, minimal breast tissue or soft tissue covering the implant as this provides a more natural appearing result. In reality, most implants placed under the muscle are only partially under the muscle and really are considered dual-plane. Great results are possible with placement above the muscle and in some cases this may be preferred.